HomeMy WebLinkAboutZ-20925FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20925
Date AUGUST 11~ 1992
THIS CERTIFIES that the buildin~
Location of Property 5600 COUNTY ROAD #48
House No. Street
County Tax Map No. 1000 Section 140 Block 2
Subdivision Filed Map No.
ONE FAMILY DWELLING
MATTITUCE ~ N.Y.
Hamlet
Lot 12
Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-20925 dated AUGUST 11~ 1992
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWR. T.LING WITH ACCESSORY GARAGE *
The certificate is issued to AGNES C. ZAPP~ DECEASED ( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
-'-/ ~ildin~ -I~s~ctor
Rev. 1/81
UI~DI:.u- DEP:~T~.~NT
T0','~%I OF SOUTHOLD, N. Y.
HOUoL~G CODE INSPECTION R~. ORT
Location
5600 COBHx¥ ROAB ~48
MATTIT~C~, N.Y.
[nu~oeF ~ szreev)
Subdivision
bIap No.
~i.iunlclpa±isy)
Lot(s)
Nmme of Owner(s) AGNES C. ZAPF, DECEASED
Occupancy I FAMILY
~ype)
A~mitted by: JOSEP~A~DE~SOH
Key ~vailable
DECEASED
(owner- zenanv)
Accompanied by..
Suffolk Co. Tax No. 140-2-12
Source of request
JOSEPH & BARBAR AI~ERSON
Date
JULY 31 , 1992
Dh~ELLI MG:
Type of construction ~
Foundation BLOCK
Total' rooms, 1st. F1 5
Bathroom (s) 2
Porch, t)~e SUN PORCH Deck, type
Breezeway Garage
Type Heat r.~s 'Warm Air
Fireplace(s) I No. F~cits
Domestic hotwater xx
Other
#stories 2
Cellar 80Z Crawl space 20~
2nd. F1 3 3rd. F1
Toilet room(s)
Patio,
Utility room
Hotwater
~ype heater
Airconditioning
ACCESSORY STRUCTURES:
Garage, type const.
Swim. ming pool
Other
F~
Storage, type const.
Guest, type const.
_VIOLATIONS:
_Location
ATTIC
CELLAR
.CHAPTER 45--N.Y. STATE UNIFO~ FIRE PREVENTION & BUILDING CODE
Description Art. I Sec.
NEED P~%ILING STAIRS & STAIR NELL 6N{AP~R 1240
NEED ExTzHSION ~ELIEF VALVE ~ATER ~EATER.
Remarks:
Inspected by:~~~_~Date of Insp. A~. ?,
· Time start 9:00 end
1992
9:30
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector wi~hqthe following: for new building or new use:
1. Final sur~y-of property with accurate location of all buildings, property lines,
streets, a~ unusual natural or topographic features.
2. Final Apprq~a% from Health Dept. of water supply and sewerage-disposal(S-9 form).
· 3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
' 5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
l.',~~rvmy~of property showing all property lines, streets, building and
'~i~Bf~'~ua_l~ural-'~_~ma~ or topographic features.
~ '~ig~'~~~omp!~'ted application and a consent to ins~oect signed by the applicant.
~'rt~i~{~f~-~--0~g~an~y is denied~h~ Building Inspector shall state the
· i~son~,~.~.~nwriting to the applicant
1~ ~i'~ificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
~lterat
t rations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
Certificate of Occupancy on Pre-existin~ Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..~¥..1!(.~92 ...................
New Construction ........... Old Or Pre-existing Building ..... ~ ..........
Location of Pro~er~, #5600 County ~ad #4~, Mattituck, L.I., N.Y.
House No. Street Hamlet
JOSEPH ANDERSON ANDERSON
Onwer or Owners of Property ........ ~' & BARBARA A.
(formerly Agnes C. Zapp, Deceased)
County Tax Map No 1000, Section.~{~-PP ..... Block 02.00 Lot 012:00Q ...
Subdivision .................................... Filed Map ....... .. ...Lot............. ........ .
Permit No ............... Date Of Permit ......... Applicant ....
Health Dept. Approval ........................ · · Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ .......................
....
JOSEi~i/A. ~ ~PLIC~T ~ A. ~N
ONSH, ,T
TO
JOSEPH A. ANDERSON and BARBARA ,A. ANDERSON
do~ hereby state:
That the undcrs/~ncdJ:i~_,j (are) Ibc owncr(s) of thc premise:; in Ibc Town
o£ So',~thold located at County Road 48, Mattituck
-- ' ~ ~, which ia :3hov.-n and dcsicnatcd on the
County tax map as District 1000, Section__140.0O Block 02.00. Lot_012.000.
That tile undersigned ~]cl~ (have) filed, o~ caused ~o be filed, an applica-
tion in the Southcld To~ Euildinf Inspector,s Office for the follow~%:
Certif~cate of 0ccu~ncy on Pre-existing building
That the underS~ncd d~x~khereby ~ive consent %o the Build~ Inspectors
of the Town of Southold to enter upon the above described property, includin¢
any and all buildings located thereon, to COnduct such inspections as they
deem necessary with respect to the aforesaid application, ~c!udLnf inspeccions
to determine that said premises com~!/, with all of ~he laws; ordinances, rt,!es
and refulations of the Town cf Southold.
The undersigned, in consentinf to such ~Spections. do(es) so ~%ith tile
knowledge and understandin~ that any ~for~ation obtained in the conduct of
such inspections ~ay be used as evidence in subsequent prosecutions for vio-
lation~ of the laws, ordinances, rules or re~lations of [he Town of Southold.
Datcd~Jul~ 31, 1992 ~
~ ' (signature)
JOSEPH A. ANDERSON
(prtnt name)
(sift ~otur'e)
.BARBARA A · ANDERSON
(print name)
SURVEY OF PROPERTY
SITUA TED A T
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-140-02-12
~,~CALE
~:~'~'~X U G U ST
~JOE. R~IFiED TO:
SECURITY TITLE &
RICHARD
JOAN M.
1"=20'
3, 1992
GUARANTY COMPANY
E. STATTLER
ROMANOWSKI
UNATHORIZED ALTERATION OR ADDmON
TO THIS SURVEY IS A VIOLATION OF
SECTION 720g 0¢ THE NEW YORK STAl~
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BE,~ING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID ll~UE COPY.
GUAR~ INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED. AND ON HIS BEHALF TO THE
llTLE COMPANY. GOVERNMENTAL AGENCY AND
LENDING INS'ilYrlON USTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. G~ES ARE NOT TRANSFERABLE.
THE EXISTANCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD. IF
ANY. NOT SHOWN ARE HOT GUARANTEED.
AREA = 8,695.91 sq. ff.
0.1996 ac.
PREPARED IN ACCORDANCE ~/rTH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE LI,A.LS. AND APPROVED AND ADOFTED
FOR SUCH USE BY THE NE*C/ YORK STATE LAND
llTLE ASSOCIATION.
Joseph A. IngegnoI
_ Lan~d
Surveyo __l
Riverhead, New York 11901~
(516)727-2090
I
Fax # (516)722-5093 J
N.Y.S. Lic. No. 4-9668
504':b
MIDDLE
FOtJNO IRO(,I
Z
N
ROAD
(c.s.
(NORTH RO/4D)
(HAMILTON
43°12'20'' E 58.00'
FOUND CONC. I~ON.5
17,8'
WALK
2'/z STORY
FRAME HOUSE
No. 5600
FRAME
GARAGE
9,4.'
/- FENCE 1.1'E. ~'%-FENCE O.TE.
~-~o*t°'*~' ~. 3.m.~ ~ ~. ~ ~,~
S 42'57'40" W58.22'
N/O/~
· .G. B~OWN MANU~AffTURING COMPANY, INC.
92-204